title: Preliminary longitudinal assessment of sleep in the elderly.
abstract: This is a preliminary report of a longitudinal assessment of sleep architectural changes over time and rate of progression of sleep apnea (SA) and sleep-related periodic leg movements (PLMs) in the elderly. Multiple night polysomnograms were performed in 11 community resident seniors (8 women and 3 men, aged 60-72 years) and repeated 3 years (34-38 months) later. Subjects were selected who exhibited at most mild SA or PLMs at initial testing. The respiratory disturbance index (but not the movement index) showed a significant increase over 3 years. Sleep architecture did not change significantly except for an increase in frequency of stage changes that was not solely attributable to the increase in frequency of apneas/hypopneas. Together with other published longitudinal studies, these findings suggest that elderly individuals with at most mild SA or PLMs can expect no more than a mild increase in the frequency of apneas/hypopneas or PLMs over the course of a few years.
authors.affiliation: Department of Neurology, University of California Irvine Medical Center, Orange.
authors.forename: R L
authors.initials: RL
authors.lastname: Phoha
authors.forename: M J
authors.initials: MJ
authors.lastname: Dickel
authors.forename: S S
authors.initials: SS
authors.lastname: Mosko
mesh_terms: D000368:Aged; D002140:California / Q000453:epidemiology; D002540:Cerebral Cortex / Q000503:physiopathology; D003430:Cross-Sectional Studies; D004569:Electroencephalography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011930:Reaction Time / Q000502:physiology; D012148:Restless Legs Syndrome / Q000453:epidemiology* / Q000503:physiopathology; D012891:Sleep Apnea Syndromes / Q000453:epidemiology* / Q000503:physiopathology